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Supracolic region. Aortic hiatus: T12, aorta, thoracic duct and azygos vein esophageal hiatus: T10, esophagus, left gastric a.v. vagal trunks. vena caval foramen: T8, inferior vena cava. The structures that formed by peritoneum as follow: 1 omentum great omentum lesser omentum
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Aortic hiatus:T12, aorta, thoracic duct and azygos veinesophageal hiatus:T10, esophagus, left gastric a.v. vagal trunks. vena caval foramen:T8, inferior vena cava
The structures that formed by peritoneum as follow: 1 omentum great omentum lesser omentum 2 mesentery mesentery transverse mesocolon sigmoid mesocolon mesoappendix 3 ligaments
Boundaries of omental bursa: Anteriorly– lesser omentum, post. wall of sto- mach, ant. layers of large omentum Posteriorly– post. layers of large omentum, transverse meso- colon Inferiorly– refleced part of large omentum Superiorly– inf. surface of liver
Anatomy of stomach • Position and relationship( ¼-- at epigastric region, ¾-- at left hypochondriac, cardiac orifice– at left side of T11, pyloric orifice– at right side of L1 • Features and divisions(fundus,body,cardiac part • pyloric part— canalsinus) • Ligaments (hepatogastric lig, gastrosplenic lig, gastrocolic) • Blood vessels and lymph drainage • nerve
Diaphragmatic area Suprarenal area Liver Renal area Pancreatic area Free area Colic area Anterior view Posterior iew Relationship of stomach
the unpaired br. the celiac trunk *the left gastric a. *the common hepatic a. *the splenic a.
Main branches: • — bronchial branches • — esophageal branches • — anterior and posterior • gastric branches(stomach) • — hepatic branches • — celiac branches
Anatomy of extrohepatic biliary duct Composition of extrohepotic duct: gall bladder, hepotic duct, common hepotic duct, common bile duct, hepotopancrea-tic ampolla Oddi Sphinctor of hepa-topancreatic ampulla hgbbjjkjjknjk